Values of Application of Three Delays Model to Maternal Mortality Scenarios at Sohag Univeristy Hospital Bidirectional Cohort Study | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 2, Volume 83, Issue 1, April 2021, Pages 812-816 PDF (471.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2021.156449 | ||
| Authors | ||
| Magdy Mohamed Amin; Mohamed Sabry Ibrahim; Ahmed Elsayed Ali* | ||
| Department of Obstetrics and Gynecology, Faculty of Medicine - Sohag University | ||
| Abstract | ||
| Background: Maternal mortality in Egypt is still relatively high so measuring maternal mortality and identifying its causes is essential and should be calculated regularly for the purpose of planning, monitoring and evaluation of provided maternal health care. Objective: Identifying the circumstances and causes of maternal mortality. Patient and method: Data were collected from records of patients who were presented to and delivered at Sohag University Hospital in the period between 2017 and 2019. Only cases of maternal mortality were included in this study. In our study we found 20 maternal deaths occurred at our hospital between 2017 and 2019. Results: In our study the most frequent one was the 1st delay that occurred in 10 women followed by 2nd delay in 4 women then combination of 1st and third in about 3 women and combination of 1st and 2nd in 2 cases and delay 2 in 1 case. Our study showed that the first cause of death was preeclampsia/eclampsia 55% followed by obstetric hemorrhage (placenta previa, postpartum hemorrhage, rupture uterus) 35%, caesarean section complications 5% and lastly medical condition associated with pregnancy 5%. Conclusions: This study showed that the first delay is the most important delay in Sohag, especially in rural areas, and the most important cause of death was preeclampsia and ignorance about its complications which was due to lack of antenatal care. | ||
| Keywords | ||
| Delays; Health facilities; Maternal mortality; Preeclampsia; Postpartum hemorrhage | ||
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